JESSICA VICKERS (NPI# 1265806673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265806673 |
| Entity Type | Individual |
| Full Name | JESSICA VICKERS |
| Other Name | JESSICA CYRUS |
| Credential | MA, LMFT |
| Practice Address |
5500 E Santa Ana Canyon Rd Ste 216 Anaheim CA 92807 |
| Mailing Address |
5500 E Santa Ana Canyon Rd Ste 216 Anaheim CA 92807-3154 |
| Practice Telephone | 6572347535 |
| Practice Fax Number | 7149228354 |
| Mailing Telephone | 6572347535 |
| Mailing Fax Number | 7149228354 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2018-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 89119 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | LMFT89119 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30497 Canwood St, Suite 103, Agoura Hills, CA 913014330 | 7143363836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609615 | Jessica Vickers | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-01-29 |
| 1609223734 | Jessica Ann Vickers | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-05-18 |
| 1043694425 | Jessica Vickers | Pharmacist | 1611 Blue Lakes Blvd N, Twin Falls, ID 83301-3374 | 2015-07-15 |
| 1780823013 | Jessica H Vickers | Anesthesiology | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2009-02-10 |
| Street Address |
5500 E SANTA ANA CANYON RD STE 216 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| 1508106154 | James Arthur Larson | Obstetrics & Gynecology | 200 Chrisalta Way, Anaheim, CA 92807 | 2013-02-19 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676337 | Ezra Lim | Marriage & Family Therapist | 8870 E Garden View Dr, Anaheim, CA 92808-1677 | 2020-07-07 |
| 1396362158 | Meredith L Stanton | Marriage & Family Therapist | 5241 E Santa Ana Canyon Rd Ste 132, Anaheim, CA 92807-3744 | 2020-06-28 |
| 1962058578 | Michael Bergeron | Marriage & Family Therapist | 9941 Chanticleer Rd, Anaheim, CA 92804-5625 | 2019-08-11 |
| 1881248706 | Penelope Anne Valenzuela | Marriage & Family Therapist | 5101 E La Palma Ave Ste 100g, Anaheim, CA 92807-2056 | 2019-07-29 |
| 1598327439 | Jennifer Lucas | Marriage & Family Therapist | 160 W Center Street Promenade Unit 112, Anaheim, CA 92805-3986 | 2019-07-01 |
| 1588155998 | Judith Arlene Hails | Marriage & Family Therapist | 101 E Lincoln Ave Ste 230, Anaheim, CA 92805-3206 | 2018-05-21 |
| 1942791595 | Brenna Renae Kress | Marriage & Family Therapist | 6200 E Canyon Rim Rd Ste 212, Anaheim, CA 92807-4317 | 2018-05-18 |
| 1639627086 | Dorothy D O'neill | Marriage & Family Therapist | 6200 E Canyon Rim Rd Ste 215, Anaheim, CA 92807-4317 | 2016-09-14 |
| 1487100798 | Gary Lira | Marriage & Family Therapist | 2272 W Colchester Dr, Apt. 1, Anaheim, CA 92804-4255 | 2016-08-27 |
| 1376991349 | Deana Helmy | Marriage & Family Therapist | 2180 W Crescent Ave Ste C, Anaheim, CA 92801-3842 | 2016-05-31 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.